25. A 78-year-old man with a history of diabetes has confusion and temperature of 104 degrees F. There is a wound on his right heel with purulent drainage. After an infusion of 3 L of normal saline, his assessment findings are  B/P 84/40 mm/Hg, heart rate 110, respirations 42 and shallow, cardiac out 8 L/min, and PAWP 4 mm/Hg. What conditions does his symptoms indicate?

48. The nurse is caring for a client who has an arterial catheter in the left radial artery for arterial pressure-based cardiac output (APCO) monitoring. Which information obtained by the nurse should be reported to the health care provider?

54. A student nurse is learning about blood transfusion compatibilities. What information does this include? (Select all that apply.)

A client diagnosed with bipolar I disorder is distraught over insomnia experienced over the last 3 nights and a 12-pound weight loss over the past 2 weeks. Which should be this client’s priority nursing diagnosis?

A patient experiencing acute mania has disrobed in the hall three times in 2 hours. The nurse should:

12. Which assessment finding would lead the nurse to suspect that a newborn infant has a ventricular septal defect?

36. The health care provider prescribes the following interventions for a 67-Kg client who has septic shock with a blood pressure of 70/42 mm Hg and O2 saturation of 90% on room air. In which order will the nurse implement the actions? (Select all that apply). a. Obtain blood and urine cultures.b. Give vancomycin by IV infusion.c. Infuse normal saline 2000 mL over 30 minutes.d. Administer oxygen to keep O2 saturation above 95%.

47. The nurse is caring for a client receiving a continuous norepinephrine IV infusion. Which finding indicates that the infusion rate may need to be adjusted?

15. A toddler undergoes cardiac catheterization as part of a diagnostic workup for pulmonic stenosis. In which part of the cardiovascular system should the nurse expect an increase in pressure?

58. A client in the emergency department reports back pain and difficulty breathing 15 minutes after a transfusion of packed red blood cells is started. What is the priority nursing intervention?